Top 50 HCA Hospitals by Net Patient Revenue

Based in Nashville, TN, HCA Healthcare is one of the largest health systems, or IDNs, in the United States. Health systems, also referred to as integrated delivery networks (IDNs), are networks of providers and care facilities that are formed with the goal of improving clinical and quality performance.

With nearly 40,000 staffed beds covering a CBSA population of 1,903,045 people, this health system is not only large, but also financially strong. According to Definitive Healthcare's Hospitals and IDN platform, HCA's net patient revenue is $39 billion, which lands them in the 99th percentile. Perhaps this IDN's financial strength is a result of their payor mix, which tilts toward private payors like UnitedHealthcare (30.5 percent of total claims) and Humana (5.3 percent of total claims).

_{Fig 1 HCA Healthcare payor mix, Definitive Healthcare’s hospital & IDN platform, May 2019}

So far, it's been a busy year for HCA Healthcare. In February 2019, HCA Healthcare completed the purchase of Mission Health, a six-hospital system in Asheville and western North Carolina, for approximately $1.5 billion. Then, in May 2019, HCA Healthcare announced the release of its new Sepsis Prediction and Optimization of Therapy (SPOT) technology. SPOT, which uses the popular dog name because it sniffs out sepsis in a way humans cannot, is an algorithm and alert system for the early detection of sepsis and, so far, has helped save an estimated 8,000 lives in the last five years. 

How many hospitals does HCA currently operate?

_{Fig 2 Data from Definitive Healthcare’s hospital & IDN platform, May 2019}

The HCA System is mainly comprised of hospitals (211), ambulatory surgery centers (ASCs) (157), and urgent care clinics (150) – followed closely by physician groups (129) and imaging centers (129). They have not invested heavily in retail clinics (4), home health agencies (8), or hospice facilities (7).

HCA hospitals are spread across the U.S. but have the biggest footprint in southern states like Florida, Texas, Virginia, Tennessee, and now North Carolina, with the recent acquisition of Mission Health.

_{Fig 3 View of HCA Healthcare facilities across the United States, Definitive Healthcare platform, May 2019}

Top 50 HCA Hospitals by Net Patient Revenue

Fig 4 Data from Definitive Healthcare’s hospital & IDN platform May 2019

HCA hospitals across the U.S. continue to expand, with many projects underway to install new, or replace existing, equipment and technology. Recently, certain HCA hospitals have expressed interest in nuclear medicine cameras, MRI units, and CT scanners. More details about HCA hospital RFPs (requests for proposals) can be found within Definitive Healthcare's platform.

Learn more

Want to learn more about HCA Healthcare, or other IDNs across the US? Definitive Healthcare's platform includes:

• Executive and department leadership phone numbers, email addresses, and LinkedIn profiles.
• Affiliations with GPOs, regional purchasing coalitions, physician groups, ACOs, and other institutions.
• Detailed hospital financial, clinical, and quality metrics.
• Open requests for proposals (RFPs) & certificates of need (CONs) for technology, consulting, construction, and major equipment purchases.
• Data on technology implementations such as EHR solutions, clinical systems, ePrescribing software and other applications.
• Real-time coverage of executive leadership changes, M&A activity, software implementations, new hospital services, and other developments.